scholarly journals Groin and hip quandaries

2016 ◽  
Vol 24 (4) ◽  
Author(s):  
H Millson
Keyword(s):  
Hip Joint ◽  
Correct Diagnosis ◽  
Pubic Symphysis ◽  
Kinetic Chain ◽  
Total Function ◽  
Key Factor

There is little consensus on the diagnosis, pathophysiology, investigation and management of groin injuries. A key factor in making the correct diagnosis is to firstly understand the anatomy and likely generators of pain in the region. This requires an understanding of the two joints in the pelvis – the hip joint and the pubic symphysis ‒ which are at the centre of many movements. There are a multitude of varying studies on this topic. However, most importantly, many of the groin/hip pathologies can be averted by thorough and specific prehabilitation, bearing in mind the entire kinetic chain and addressing total function above and below the pelvis.

scholarly journals Groin and hip quandaries

2012 ◽  
Vol 24 (4) ◽  
Author(s):  
H Millson
Keyword(s):  
Hip Joint ◽  
Correct Diagnosis ◽  
Pubic Symphysis ◽  
Kinetic Chain ◽  
Total Function ◽  
Key Factor

There is little consensus on the diagnosis, pathophysiology, investigation and management of groin injuries. A key factor in making the correct diagnosis is to firstly understand the anatomy and likely generators of pain in the region. This requires an understanding of the two joints in the pelvis – the hip joint and the pubic symphysis ‒ which are at the centre of many movements. There are a multitude of varying studies on this topic. However, most importantly, many of the groin/hip pathologies can be averted by thorough and specific prehabilitation, bearing in mind the entire kinetic chain and addressing total function above and below the pelvis.

Ultrasound-guided Musculoskeletal Interventions for the Most Common Hip and Pelvis Conditions: A Step-by-Step Approach

2019 ◽  
Vol 23 (03) ◽  
pp. e58-e67 ◽  
Author(s):  
Georgina Allen ◽  
Marina Obradov ◽  
Vito Chianca ◽  
Carmelo Messina ◽  
Luca Maria Sconfienza
Keyword(s):  
Hip Joint ◽  
Ultrasound Guidance ◽  
Pubic Symphysis ◽  
Joint Space ◽  
Common Condition ◽  
Sacroiliac Joints ◽  
Ultrasound Guided ◽  
Therapeutic Procedures

AbstractPain around the hip and pelvis is a very common condition. Pain may be generated within the joint space (i.e. the hip joint itself, the sacroiliac joints or the pubic symphysis) or from surrounding myotendinous, bursal, or nerve structures. Over the years, percutaneous musculoskeletal procedures have become increasingly popular to diagnose and treat painful conditions around the hip and the pelvis. Most intra- and extra-articular procedures are performed under ultrasound guidance. This article reviews the most common diagnostic and therapeutic procedures that can be performed around the hip and the pelvis under ultrasound guidance.

REFERENCE VALUES FOR THE CONCENTRATION OF TREC AND KREC IN CHILDREN AGED 1–17 YEARS

2021 ◽  
Vol 100 (6) ◽  
pp. 38-45
Author(s):  
I.V. Obraztsov ◽  
◽  
L.A. Fedorova ◽  
A.P. Prodeus ◽  
D.A. Kudlay ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Reference Values ◽  
Whole Blood ◽  
Peripheral Blood ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Reference Intervals ◽  
Key Factor ◽  
Late Start ◽  
First Year Of Life

The clinical manifestations of immunodeficiency states (IDS), whether primary or secondary, are extremely nonspecific. The consequence of this is the belated setting of the correct diagnosis and, accordingly, the late start of the necessary therapy. Early detection of IDS is a key factor in the successful treatment of patients with these diseases. Determination of the concentration of TREC and KREC in whole blood and dry blood stains by real-time PCR has already proven its effectiveness for newborns and children in the first year of life. Objective of the study: to determine the concentration reference values of TREC and KREC in peripheral blood and dry spots in children and adolescents aged 1–17 years. Materials and methods of research: 162 conditionally healthy individuals were examined, including 64 at the age of 1–5 years, 47 – 6–11 years old and 51 – 12–17 years old. The concentration of TREC and KREC DNA in peripheral whole blood and dry blood spots on neonatal screening cards was assessed by PCR. Results: reference intervals and threshold values of TREC and KREC content in dry spots and in peripheral whole blood of children and adolescents aged 1–17 years were built and substantiated. Conclusion: the obtained reference values are very convenient for identifying patients with T- and/or B-cell lymphopenia, as well as monitoring the number of naive T- and B-lymphocytes in the peripheral blood of patients with already known diseases in wide pediatric practice.

scholarly journals Transposition of the acetabulum after iliac ischial osteotomy in the treatment of hip dysplasia in infants

2016 ◽  
Vol 4 (2) ◽  
pp. 5-11 ◽  
Author(s):  
Vladimir E Baskov ◽  
Mikhail M Kamosko ◽  
Dmitry B Barsukov ◽  
Ivan Yu Pozdnikin ◽  
Vadim V Kozhevnikov ◽  
...  
Keyword(s):  
Hip Joint ◽  
Older Patients ◽  
Hip Dysplasia ◽  
Vascular Complications ◽  
Pelvic Osteotomy ◽  
Pubic Symphysis ◽  
Pubic Bone ◽  
Surgical Method ◽  
Acetabular Fragment ◽  
Dysplastic Hip

Background. Transposition of the acetabulum after pelvic osteotomy is the most effective surgical method to treat dysplastic hip joint disorders in patients of different ages. According to Salter, iliac osteotomy of the pelvis is the main surgical method used to correct dysplastic acetabulum in 7- and 8-year-old children. In older patients, the pubic symphysis and pelvic ligaments become more rigid, which significantly limits the degree of rotation of the acetabulum. In these cases, a triple pelvic osteotomy is performed to enhance the mobility of the acetabular fragment. This pubic bone osteotomy is performed near the femoral neurovascular bundle, which may be damaged during the procedure.Aim. To describe a technique for transposition of the acetabulum after iliac and ischial osteotomy of the pelvis, which was developed to reduce trauma, prevent vascular complications, and increase postoperative stability of the pelvic ring.Materials and methods. A method developed by the authors for transposition of the acetabulum after iliac and sciatic pelvic osteotomy is described in detail. The surgical method was performed 99 times on 89 children with dysplastic hip joint disorders, and the results are presented.Conclusion. Transposition of the acetabulum after iliac and ischial pelvic osteotomy is an effective treatment for dysplastic instability of the acetabulum in children aged 9–16 years. The procedure is indicated when it is necessary to rotate the acetabular fragment by more than 25°, and there is no need for hip medialization.

scholarly journals Congenital contracture of the iliotibial tract: a case report

2018 ◽  
Vol 6 (2) ◽  
pp. 79-85
Author(s):  
Yuriy E. Garkavenko ◽  
Ivan N. Krasnogorskiy ◽  
Bahauddin H. Dolgiev
Keyword(s):  
Hip Joint ◽  
English Language ◽  
Correct Diagnosis ◽  
Valgus Deformity ◽  
Russian Language ◽  
Gluteal Muscle ◽  
Iliotibial Tract ◽  
Study Results ◽  
The Right ◽  
Language Literature

Introduction. Congenital contracture of the iliotibial tract is a rather rare pathology that causes difficulties in diagnosing and planning treatment activities. The lack of a clear idea of the causes of the disease has led to disagreement in the interpretation of the diagnosis in patients with this pathology. In the Russian-language literature, this disease is referred to as idiopathic extension and abduction contracture of a hip joint or idiopathic contracture of the dorsal gluteal muscle (a congenital contracture of the tendons of the dorsal gluteal muscles), whereas the English-language literature more often highlights congenital or idiopathic contracture of the dorsal gluteal muscles. Clinical сase. The results of treatment of a 6-year-old child with congenital contracture of the iliotibial tract is presented. The child exhibited lameness when walking first started, but the correct diagnosis was not established. Clinically, along with the limitation of adduction and extension in the hip joint and an induration of the soft tissue along the external surface of the right thigh, the pelvis was skewed, and there was shortening of the right lower limb and a valgus deformity of diaphysis of the right femoral bone. Ultrasonographic and magnetic resonance imaging indicated the presence of a fibrous bridle over the outer surface of the right thigh. The fibrous bridle was excised for 15 cm, and a temporary hemiepiphysiodesis of the medial portion of the distal growth zone of the right femur was performed. Results and discussion. At the 1-year control examination, the patient did not present any complaints. There was no relapse of the contracture. According to X-ray study results, correction of the valgus deformity of the right femur was achieved, and the metal structures were removed. Despite the more frequent extension and abduction direction of the contracture of the iliotibial tract indicated by most authors, the direction and severity apparently may depend on the predominant zone of fibrous degeneration of the muscle groups. Additionally, with the predominant lesion of the dorsal gluteal muscle, a more pronounced extension component can be expected, whereas with the predominant lesion of the musculus tensor fasciae latae, a flexion component can be expected and was observed in our patient.

Minimally Invasive Procedures for Diagnosis of Traumatic Right Diaphragmatic Tears: A Method for Correct Diagnosis in Selected Patients

2007 ◽  
Vol 73 (4) ◽  
pp. 388-392 ◽  
Author(s):  
Yoav Mintz ◽  
David W. Easter ◽  
Uzi Izhar ◽  
Yair Edden ◽  
Mark A. Talamini ◽  
...  
Keyword(s):  
Diagnostic Laparoscopy ◽  
Motor Vehicle ◽  
Correct Diagnosis ◽  
Traumatic Rupture ◽  
Respiratory Compromise ◽  
Vehicle Accidents ◽  
Left Diaphragm ◽  
Key Factor ◽  
The Right ◽  
High Index Of Suspicion

Traumatic rupture of the diaphragm is no longer uncommon. Because of the increasing frequency of motor vehicle accidents, the rate of blunt trauma to the chest and abdomen, which are the most common causes of diaphragmatic rupture, is increased as well. However, the diagnosis is frequently missed or delayed because of the lack of sensitivity and specificity of imaging modalities. Diagnostic laparoscopy is considered a standard tool for penetrating injuries to the left diaphragm and is widely practiced in selected cases. Right diaphragmatic tears, however, are more difficult to diagnose because of the sealing effect of the liver. Blunt abdominal trauma can cause large right diaphragmatic tears, causing liver incarcerations and respiratory compromise, therefore demanding the need for a comparable diagnostic tool. A high index of suspicion, together with knowledge of the mechanism of trauma, is the key factor for the correct diagnosis. Once the diagnosis has been considered, diagnostic laparoscopy and/or diagnostic thoracoscopy should be performed to confirm or rule out this injury. Factors suggestive of a right diaphragmatic tear include newly or progressive elevation of the right diaphragm and respiratory distress without underlining lung injury. The timing of the procedure should be in accordance with the hemodynamic and respiratory status of the patient. This procedure should be performed semielectively if there are no other indications for surgical intervention.

scholarly journals MALIGNANT OVARIAN TUMORS DIAGNOSTICS DIFFICULTIES

2018 ◽  
Vol 14 (2) ◽  
pp. 82-89
Author(s):  
S. O. Nikoghosyan ◽  
A. Z. Zagashtokov ◽  
N. E. Levchenko ◽  
M. M. Thakokhov
Keyword(s):  
Ovarian Cancer ◽  
Overall Survival ◽  
Survival Rate ◽  
Correct Diagnosis ◽  
Stage Iv ◽  
Modern Medicine ◽  
Ovarian Neoplasm ◽  
Overall Survival Rate ◽  
Results Of Treatment ◽  
Key Factor

Despite the undeniable successes of modern medicine, the problems of oncology and, in particular, oncogynecology are still unresolved. Thus, a 5-year overall survival rate for stage I ovarian cancer is 89 %, for stage IV – 17 %. Given that complaints in patients with ovarian cancer appear only after the tumor has passed beyond the organ, the most important and key factor in successful treatment is the correct diagnosis of ovarian neoplasm. Observance of the correct algorithm and correct surgery can significantly improve the results of treatment. The article will discuss the difficulties of diagnosing ovarian cancer.

scholarly journals Muscle Activities around Hip Joint during Muscle Strengthening Exercises in Closed Kinetic Chain.

1995 ◽  
Vol 10 (4) ◽  
pp. 203-206 ◽  
Author(s):  
NORIAKI ICHIHASHI ◽  
YUKA UEHARA ◽  
HIROSHIGE YAMAMOTO ◽  
HIROMITHU ITOH ◽  
MASAKI YOSHIDA
Keyword(s):  
Hip Joint ◽  
Kinetic Chain ◽  
Muscle Strengthening ◽  
Strengthening Exercises ◽  
Closed Kinetic Chain

scholarly journals Hip joint arthroplasty in pubic symphysis separation in the course of congenital bladder exstrophy - study of two cases

2016 ◽  
Vol 18 (4) ◽  
pp. 367-373
Author(s):  
Marek Drobniewski ◽  
Andrzej Borowski ◽  
Magdalena Krasmska ◽  
Marcin Sibmski ◽  
Marek Synder
Keyword(s):  
Hip Joint ◽  
Bladder Exstrophy ◽  
Pubic Symphysis ◽  
Joint Arthroplasty

Attachment of oral bacteria to titanium surfaces: An SEM study

1994 ◽  
Vol 52 ◽  
pp. 468-469
Author(s):  
J. E. Laffoon ◽  
R. L. Anderson ◽  
J. C. Keller ◽  
C. D. Wu-Yuan
Keyword(s):  
Technical Problem ◽  
Titanium Implant ◽  
Oral Bacteria ◽  
Bacterial Cells ◽  
Thin Sections ◽  
Surface Ultrastructure ◽  
Sem Study ◽  
Key Factor ◽  
Titanium Surfaces

Titanium (Ti) dental implants have been used widely for many years. Long term implant failures are related, in part, to the development of peri-implantitis frequently associated with bacteria. Bacterial adherence and colonization have been considered a key factor in the pathogenesis of many biomaterial based infections. Without the initial attachment of oral bacteria to Ti-implant surfaces, subsequent polymicrobial accumulation and colonization leading to peri-implant disease cannot occur. The overall goal of this study is to examine the implant-oral bacterial interfaces and gain a greater understanding of their attachment characteristics and mechanisms. Since the detailed cell surface ultrastructure involved in attachment is only discernible at the electron microscopy level, the study is complicated by the technical problem of obtaining titanium implant and attached bacterial cells in the same ultra-thin sections. In this study, a technique was developed to facilitate the study of Ti implant-bacteria interface.Discs of polymerized Spurr’s resin (12 mm x 5 mm) were formed to a thickness of approximately 3 mm using an EM block holder (Fig. 1). Titanium was then deposited by vacuum deposition to a film thickness of 300Å (Fig. 2).

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